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Management of functional somatic syndromes [including CFS, IBS, FMS]

  [ 272 votes ]   [ 1 Comment ]
By P Henningsen, et al. • www.ProHealth.com • April 20, 2007


[Note: functional somatic syndromes include Chronic Fatigue Syndrome, irritable bowel syndrome, Fibromyalgia and other “disorders that are primarily symptom-based, multisystemic in presentation, and probably involve alterations in mind-brain-body interactions.”]

Journal: Lancet. 2007 Mar 17;369(9565):946-55.

Authors and affiliation: Henningsen P, Zipfel S, Herzog W. Department of Psychosomatic Medicine and Psychotherapy, University Hospital, Technical University of Munich, Munich, Germany. [E-mail: p.henningsen@tum.de ]

PMID: 17368156

Although functional somatic syndromes (FSS) show substantial overlap, treatment research is mostly confined to single syndromes, with a lack of valid and generally accepted diagnostic criteria across medical specialties.

Here we review management for the full variety of FSS, drawn from systematic reviews and meta-analyses since 2001, and give recommendations for a stepped care approach that differentiates between uncomplicated and complicated FSS. n Non-pharmacological treatments involving active participation of patients, such as exercise and psychotherapy, seem to be more effective than those that involve passive physical measures, including injections and operations. n Pharmacological agents with CNS (central nervous system) action seem to be more consistently effective than drugs aiming at restoration of peripheral physiological dysfunction. n A balance between biomedical, organ-oriented, and cognitive interpersonal approaches is most appropriate at this truly psychosomatic interface. n In view of the iatrogenic [“dysfunctional symptoms in the patient that owe their cause to the actions of the practitioner”] component in the maintenance of FSS, doctor-centered interventions and close observation of the doctor-patient relationship are of particular importance.





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Article Comments Post a Comment

Management of CFS, IBS, FMS thru Psychiatric Eyes
Posted by: findmind
Apr 26, 2007
Such hogwash. Aren't we past this junk science yet? This is the type of IAIYH b.s. we have had to deal with for almost 30 years. Why do we give it credence by republishing it? findmind
Reply Reply
 
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